New Cairo — 5th Settlement · Open 24/7Follow us:
American Heart Association Authorized Training Center 15276 Book
Health Library/Hemorrhoids: Symptoms, Causes, Treatment, and When Surgery Is Needed

Hemorrhoids: Symptoms, Causes, Treatment, and When Surgery Is Needed

July 7, 2026 · Town Hospital editorial team

Medically reviewed by the Medical Department at Town Hospital

Hemorrhoids: Symptoms, Causes, Treatment, and When Surgery Is Needed

Hemorrhoids are among the most common and most embarrassing problems, which makes many people delay seeking care. The reassuring reality is that most cases improve with simple steps, and surgery remains an option only for advanced cases.

What Are Hemorrhoids?

Hemorrhoids are swollen, enlarged veins inside or around the anus. They may be internal (not visible) or external (felt), and range in degree from mild to advanced.

Symptoms of Hemorrhoids

  • Bright red blood with bowel movements
  • Itching or irritation around the anus
  • Pain or discomfort when sitting
  • A feeling of swelling or a bulge, sometimes a small lump

Causes and Risk Factors

Chronic constipation and straining during bowel movements, prolonged sitting, low fiber and inadequate water intake, pregnancy and obesity, and older age.

When to See a Doctor

Bleeding with bowel movements should not be assumed to be hemorrhoids alone; it is important for a doctor to evaluate it to rule out other causes. See a doctor if bleeding recurs, pain increases, symptoms do not improve despite home care, or you notice a change in bowel habits. Seek urgent care immediately if bleeding is heavy, if the stool is black or tarry, or if it is accompanied by dizziness, fainting, or severe weakness.

Treatment Options

The plan usually starts with simple measures: more fiber, drinking enough water, avoiding constipation and prolonged sitting, and some topical treatments determined by the doctor. For moderate degrees, simple procedures may be used, while surgery is reserved for advanced cases or those that have not responded to conservative treatment, and is decided by the doctor according to the degree — without over-intervention.

How Town Hospital Helps You

In the General Surgery department at Town Hospital, the degree of your condition and the cause of symptoms are carefully assessed, then the most suitable option is explained clearly — from simple solutions up to any intervention if needed — while preserving your privacy and comfort.

Frequently Asked Questions

Do all hemorrhoid cases need surgery?

No. Most cases improve with changes to diet and lifestyle, and surgery is only for advanced cases.

Is bleeding always caused by hemorrhoids?

Not necessarily; any bleeding should be evaluated by a doctor to rule out other causes.

Does pregnancy cause hemorrhoids?

Pregnancy is a known risk factor due to increased pressure on the veins and constipation.

How can I prevent hemorrhoids?

By increasing fiber and water, and avoiding constipation, prolonged sitting, and straining during bowel movements.

Book an appointment with the general surgery team at Town Hospital — Fifth Settlement
📞 15276 | 🌐 www.townhospitaleg.com

Related articles

Book Your Appointment at Town Hospital

Our team is here for you — book now or reach us directly